Adult SexEd

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You Are Not Broken

Sex After Cancer with Dr. Laila Agrawal

ABOUT THE EPISODE

In the episode, Dr. Laila Agrawal discusses how she first became interested in this field – a patient’s distress over the loss of libido after cancer treatment inspired her to learn more, as medicine rarely prioritizes female sexual pleasure.

HERE’S WHAT WE DISCUSS

  • Breast cancer treatment can profoundly impact sexuality in biological, psychological, and social ways. Understanding each facet is essential. Surgery, radiation, chemo, and hormone therapy all have sexual side effects. Body image issues and relationship challenges often emerge, too.
  • Despite fear and urgency around diagnosis, there IS time to thoughtfully consider surgical options like mastectomy vs lumpectomy and weigh impacts on sensation and body image. Removing unaffected breast tissue does NOT improve cancer survival rates or reduce recurrence risk.
  • Vaginal estrogen is considered safe for most breast cancer survivors and can effectively treat genitourinary issues like dryness, pain, and libido. Those on aromatase inhibitors require nuanced risk/benefit conversations first. Vaginal DHEA can be an alternative.
  • The American Congress of Obstetricians and Gynecologists has a position statement on the use of vaginal estrogen after treatment for breast cancer.
  • For low desire, non-hormonal medications like filbanserin and bremelanotide can help in some cases, but sex therapy and addressing lifestyle factors should come first. Pelvic floor physical therapy is also hugely beneficial for many.

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Kelly Casperson, MD

MEET YOUR HOST

Kelly Casperson, MD

She’s the sister, urologist, sex expert and friend you never knew you needed….until now.

Dr. Kelly Casperson is a board certified urologist. That makes her an expert of the pelvis. And her mission is to empower women to live their best love lives. Because let’s be honest. None of us were taught right. Combining the power of mind, body and relationships, Dr. Kelly joyously breaks down the societal barriers that are keeping us from awakening into our best intimate experience.

Listen, share and subscribe.

Whether you are young or past menopause, single or in a long-term bond, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, explore, and normalize our lives. Nothing in this podcast is personal medical advice, of course.

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